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Providers who are interested in participating with Independence must
complete and submit a credentialing application; however, submission of the
credentialing application and required supporting documentation does not
guarantee inclusion in Independence's provider networks.
Historically, once an application was approved, the provider would receive
two forms of notification: one letter to confirm approval and another letter to
inform of his or her billing provider ID number. Going forward, in an effort to
streamline this process, each newly credentialed provider will receive only
one letter of notification once his or her application is approved.
Keep in mind that, although the credentialing status is approved, new
providers are not immediately set up in the claims processing system.
Therefore, we encourage newly approved providers to wait at least 20 business
days from the date your credentialing is approved before submitting claims for
payment. Claims received prior to proper provider set-up may result in
inaccurate payment or rejections. In addition, you will not be provided an
individual provider number for claims submission as you have in the past. As
previously notified, please continue using a valid National Provider Identifier
(NPI) when submitting claims for Independence members. This NPI requirement
applies to all claim submissions.
Note: This information does not apply to providers contracted with
Magellan Healthcare, Inc., an independent company.
Magellan Healthcare, Inc. manages mental health and
substance abuse benefits for most Independence Blue Cross members.
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